Moira O Kalichman
Dados Biográficos
| ID | 1732083 |
|---|---|
| NOME | Moira O Kalichman |
| PRENOMES | Moira |
| SOBRENOME | O Kalichman |
| ASSINATURA | KALICHMAN M O |
| AFILIAÇÕES | University of Connecticut |
| ORCID | 0000-0003-4495-4140 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAÇÕES | 17 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2007 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Sex Positivity, Resilience, Social Support, and PrEP and HIV Stigmas
Background: Pre-exposure prophylaxis (PrEP) significantly reduces the risk of contracting HIV among all individuals. The success of PrEP has led to the development of targeted health campaigns for encouraging the uptake of PrEP among sexual and gender diverse communities, who account for some of the highest HIV transmission rates in the U.S. PrEP uptake among Black sexual and gender-diverse populations (BSGD) remains low, which is worrisome given…
Perceived sensitivity to medicines and medication concerns beliefs predict intentional nonadherence to antiretroviral therapy among young people living with HIV
Among the sources of antiretroviral therapy (ART) nonadherence are patient decisions to skip or stop taking their medications, often stemming from medication beliefs and concerns about side- effects. While individuals who perceive greater sensitivity to medicines may be prone to medication concerns, understanding how these factors contribute to HIV treatment adherence requires further research. The current study tested the direct and indirect eff…
Randomized Community Trial Comparing Telephone versus Clinic‐Based Behavioral Health Counseling for People Living with HIV in a Rural Setting
PURPOSE: To test the efficacy of a theory-based behavioral intervention delivered via telephone versus clinic-based counseling to improve HIV outcomes and reduce alcohol consumption for people at-risk for treatment failure in a rural setting. METHODS: Patients receiving HIV care (N = 240) were randomized using a computer-generated scheme to one of three conditions: (a) telephone behavioral health counseling, (b) clinic-based behavioral health cou…
HIV stigma experiences and alcohol use among patients receiving medical care in the rural south
Drug Use and Life Chaos as Potential Factors Contributing to HIV Viral Load among People with Lower Health Literacy
Background Lower health literacy is associated with poorer health outcomes in people living with HIV (PLWH), but the explanatory mechanisms for these associations are not well understood. Factors such as drug use and life chaos may at least in part account for the relationship between lower health literacy and poor health outcomes. The current study tested the hypothesis that lower health literacy would predict drug use, which in turn would predi…
Subjective well-being and Covid-19 prevention practices among people living with HIV in Cape Town, South Africa
COVID-19 poses significant threats to the health of people with underlying chronic conditions, including people living with HIV. The association between subjective well-being and practicing COVID-19 preventive behaviours among people living with HIV is yet to be empirically tested. The objective of the current study was to test the hypothesis that subjective well-being would be associated with engaging in greater COVID-19 preventive behaviours. A…
Trust in health information sources and its associations with Covid-19 disruptions to social relationships and health services among people living with HIV
Findings have implications for the necessity of rebuilding public trust in credible sources of health information and stepping up efforts to counter sources of inaccurate information
Individual social capital and the HIV continuum of care in a rural setting of the southeast United States
Social capital is associated with the health of people living with HIV, and yet few studies have examined social capital in relation to the HIV continuum of care in the United States. The current study assessed individual social capital within social networks of 251 people living with HIV and residing in a rural area of the southeastern United States. Participants completed computerized self-administered measures that included markers of social c…
Stigmatisation of alcohol use among people receiving antiretroviral therapy for HIV infection, Cape Town, South Africa
Antiretroviral therapy (ART) effectively treats HIV infection, with improved longevity and quality of life among people living with HIV. Alcohol use, however, remains a robust barrier to ART. This study, for the first time, examined the effects of the stigmatisation of alcohol use on ART adherence. Patients receiving ART in Cape Town, South Africa who currently drink alcohol ( N = 187) and those who do not drink alcohol ( N = 106) completed measu…
Intersecting alcohol use and depression impedes HIV treatment in the rural South, USA
This study tested the hypothesis that the co-occurrence of alcohol use and depressive symptoms predicts HIV suppression and antiretroviral therapy (ART) adherence among people living with HIV. Baseline cross-sectional results showed a significant interaction between depressive symptoms and alcohol use in predicting HIV suppression; individuals who drank more alcohol and had higher depressive symptoms demonstrated poorer HIV suppression relative t…
HIV-related stigma and non-adherence to antiretroviral medications among people living with HIV in a rural setting
Alcohol-related intentional nonadherence to antiretroviral therapy among people living with HIV, Cape Town, South Africa
Alcohol use may have significant negative impacts on individuals’ ability to remain adherent to antiretroviral therapy (ART), and may also yield other negative psychosocial, health-related, and behavioral outcomes. In addition, false beliefs about the consequences of mixing alcohol with ART use may cause individuals to avoid taking ART when drinking (alcohol-related ART avoidance). Although research conducted in the U.S. and Europe has reported o…
Stigma management intervention to improve antiretroviral therapy adherence
Combination antiretroviral therapy (cART) has transformed HIV infection from a universally fatal disease to a medically manageable chronic illness. We conducted a Phase-I test of concept intervention trial to examine feasibility and potential efficacy of behavioural self-regulation counselling designed to improve care retention and cART adherence. The intervention was culturally adapted from client-centered evidence-based interventions that are g…
Male circumcision for HIV prevention
Medical male circumcision (MMC) is a proven method of HIV risk reduction for men in southern Africa. MMC promotion campaigns and scale-up programmes are widely implemented throughout the Republic of South Africa. However, the impact of promoting MMC on women's awareness, beliefs, and behaviours has been understudied. We conducted a self-administered anonymous survey of 279 women receiving health services in an impoverished township located in Cap…
Exploring motivation to notify and barriers to partner notification of sexually transmitted infections in South Africa
While the intervention appears to be successful in facilitating partners' intentions to notify, the data shows significant social and structural barriers that will create difficulties for the prevention of future STIs. Participants' persistent concerns about acquiring HIV or their current positive status affect decision-making and therefore, could be a window of opportunity for health-care providers or lay counsellors to discuss STIs in high prev…
Forget about forgetting
HIV infection is now clinically manageable with antiretroviral therapy (ART). However, a significant number of people with HIV do not benefit from ART because of non-adherence. This study examined the use of adherence strategies and barriers to adherence among persons at substantial risk for developing resistant virus (less than 75% adherent). People living with HIV (n = 556) who were less than 95% adherent to ART completed computerized interview…
Dietary intake and overweight and obesity among persons living with HIV in Atlanta Georgia
In the U.S., there has been a rise in overweight and obesity among persons living with HIV (PLWH). The aim of this study was to examine dietary intake and body mass index (BMI) in PLWH in Atlanta Georgia relative to the U.S. population. Dietary intake among PLWH was compared with recommended standards as well as estimated dietary intake for adults in the U.S. Over 31% of the study participants were overweight [BMI = 25–29.9 kg/m2], and 33.1% obes…
Impact of food, housing, and transportation insecurity on ART adherence
Antiretroviral therapy (ART) has transformed HIV into a manageable illness. However, high levels of adherence must be maintained. Lack of access to basic resources (food, transportation, and housing) has been consistently associated with suboptimal ART adherence. Moving beyond such direct effects, this study takes a hierarchical resources approach in which the effects of access to basic resources on ART adherence are mediated through interpersona…
Online Partner Seeking and Sexual Risk Among HIV+ Gay and Bisexual Men
Medication beliefs mediate the association between medical mistrust and antiretroviral adherence among African Americans living with HIV/Aids
Medical mistrust is a significant barrier to medication adherence among African Americans living with HIV. In this study 380 African American people receiving antiretroviral therapy (ART) in a southern US city completed computerized measures at a community-based research site. Multiple mediation modeling showed that medical provider mistrust was associated with medication beliefs and ART adherence. Also, medication beliefs predicted adherence. Th…
Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online
Gay, bisexual, and other men who have sex with men (MSM) remain the highest risk group for HIV infection. One reason is the increased use of the Internet to meet potential sex partners, which is associated with greater sexual risk behavior. To date, few studies have investigated psychosocial predictors of sexual risk behavior among gay and bisexual men seeking sex partners online. The purpose of the current study was to test a conceptual model of…
Alcohol-antiretroviral therapy interactive toxicity beliefs and daily medication adherence and alcohol use among people living with HIV
Alcohol-antiretroviral therapy (ART) interactive toxicity beliefs reflect perceived adverse outcomes of mixing alcohol and ART. Previous research has shown a significant relationship between alcohol-ART interactive toxicity beliefs and ART non-adherence, over and above other correlates of non-adherence such as human immunodeficiency virus (HIV)symptoms and frequency of alcohol use. Most past studies have collected data over extended periods and h…
Sexual Behaviors and Transmission Risks Among People Living with HIV
Integrated Behavioral Intervention to Improve HIV/Aids Treatment Adherence and Reduce HIV Transmission
Objectives. We conducted a randomized clinical trial to test an integrated behavioral intervention designed to enhance using HIV treatment as prevention by improving medication adherence, reducing risks for other sexually transmitted infections, and minimizing risk compensation beliefs. Methods. Individuals living with HIV/AIDS (n = 436) participated in a randomized clinical trial testing an intensive behavioral intervention aimed at reducing HIV…
Health and Treatment Implications of Food Insufficiency among People Living with HIV/Aids, Atlanta, Georgia
Medication beliefs mediate the association between medical mistrust and antiretroviral adherence among African Americans living with HIV/Aids
Medical mistrust is a significant barrier to medication adherence among African Americans living with HIV. In this study 380 African American people receiving antiretroviral therapy (ART) in a southern US city completed computerized measures at a community-based research site. Multiple mediation modeling showed that medical provider mistrust was associated with medication beliefs and ART adherence. Also, medication beliefs predicted adherence. Th…
Health and Treatment Implications of Food Insufficiency among People Living with HIV/Aids, Atlanta, Georgia
Online Partner Seeking and Sexual Risk Among HIV+ Gay and Bisexual Men
HIV-related stigma and non-adherence to antiretroviral medications among people living with HIV in a rural setting
Sexual Behaviors and Transmission Risks Among People Living with HIV
Integrated Behavioral Intervention to Improve HIV/Aids Treatment Adherence and Reduce HIV Transmission
Objectives. We conducted a randomized clinical trial to test an integrated behavioral intervention designed to enhance using HIV treatment as prevention by improving medication adherence, reducing risks for other sexually transmitted infections, and minimizing risk compensation beliefs. Methods. Individuals living with HIV/AIDS (n = 436) participated in a randomized clinical trial testing an intensive behavioral intervention aimed at reducing HIV…
Altering Key Characteristics of a Disseminated Effective Behavioral Intervention for HIV Positive Adults
Health and Treatment Implications of Food Insufficiency among People Living with HIV/Aids, Atlanta, Georgia
Integrated Behavioral Intervention to Improve HIV/Aids Treatment Adherence and Reduce HIV Transmission
Objectives. We conducted a randomized clinical trial to test an integrated behavioral intervention designed to enhance using HIV treatment as prevention by improving medication adherence, reducing risks for other sexually transmitted infections, and minimizing risk compensation beliefs. Methods. Individuals living with HIV/AIDS (n = 436) participated in a randomized clinical trial testing an intensive behavioral intervention aimed at reducing HIV…
Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online
Gay, bisexual, and other men who have sex with men (MSM) remain the highest risk group for HIV infection. One reason is the increased use of the Internet to meet potential sex partners, which is associated with greater sexual risk behavior. To date, few studies have investigated psychosocial predictors of sexual risk behavior among gay and bisexual men seeking sex partners online. The purpose of the current study was to test a conceptual model of…
Alcohol-antiretroviral therapy interactive toxicity beliefs and daily medication adherence and alcohol use among people living with HIV
Alcohol-antiretroviral therapy (ART) interactive toxicity beliefs reflect perceived adverse outcomes of mixing alcohol and ART. Previous research has shown a significant relationship between alcohol-ART interactive toxicity beliefs and ART non-adherence, over and above other correlates of non-adherence such as human immunodeficiency virus (HIV)symptoms and frequency of alcohol use. Most past studies have collected data over extended periods and h…
Sexual Behaviors and Transmission Risks Among People Living with HIV
Forget about forgetting
HIV infection is now clinically manageable with antiretroviral therapy (ART). However, a significant number of people with HIV do not benefit from ART because of non-adherence. This study examined the use of adherence strategies and barriers to adherence among persons at substantial risk for developing resistant virus (less than 75% adherent). People living with HIV (n = 556) who were less than 95% adherent to ART completed computerized interview…
Dietary intake and overweight and obesity among persons living with HIV in Atlanta Georgia
In the U.S., there has been a rise in overweight and obesity among persons living with HIV (PLWH). The aim of this study was to examine dietary intake and body mass index (BMI) in PLWH in Atlanta Georgia relative to the U.S. population. Dietary intake among PLWH was compared with recommended standards as well as estimated dietary intake for adults in the U.S. Over 31% of the study participants were overweight [BMI = 25–29.9 kg/m2], and 33.1% obes…
Impact of food, housing, and transportation insecurity on ART adherence
Antiretroviral therapy (ART) has transformed HIV into a manageable illness. However, high levels of adherence must be maintained. Lack of access to basic resources (food, transportation, and housing) has been consistently associated with suboptimal ART adherence. Moving beyond such direct effects, this study takes a hierarchical resources approach in which the effects of access to basic resources on ART adherence are mediated through interpersona…
Online Partner Seeking and Sexual Risk Among HIV+ Gay and Bisexual Men
Medication beliefs mediate the association between medical mistrust and antiretroviral adherence among African Americans living with HIV/Aids
Medical mistrust is a significant barrier to medication adherence among African Americans living with HIV. In this study 380 African American people receiving antiretroviral therapy (ART) in a southern US city completed computerized measures at a community-based research site. Multiple mediation modeling showed that medical provider mistrust was associated with medication beliefs and ART adherence. Also, medication beliefs predicted adherence. Th…
Stigma management intervention to improve antiretroviral therapy adherence
Combination antiretroviral therapy (cART) has transformed HIV infection from a universally fatal disease to a medically manageable chronic illness. We conducted a Phase-I test of concept intervention trial to examine feasibility and potential efficacy of behavioural self-regulation counselling designed to improve care retention and cART adherence. The intervention was culturally adapted from client-centered evidence-based interventions that are g…
Male circumcision for HIV prevention
Medical male circumcision (MMC) is a proven method of HIV risk reduction for men in southern Africa. MMC promotion campaigns and scale-up programmes are widely implemented throughout the Republic of South Africa. However, the impact of promoting MMC on women's awareness, beliefs, and behaviours has been understudied. We conducted a self-administered anonymous survey of 279 women receiving health services in an impoverished township located in Cap…
Exploring motivation to notify and barriers to partner notification of sexually transmitted infections in South Africa
While the intervention appears to be successful in facilitating partners' intentions to notify, the data shows significant social and structural barriers that will create difficulties for the prevention of future STIs. Participants' persistent concerns about acquiring HIV or their current positive status affect decision-making and therefore, could be a window of opportunity for health-care providers or lay counsellors to discuss STIs in high prev…
Alcohol-related intentional nonadherence to antiretroviral therapy among people living with HIV, Cape Town, South Africa
Alcohol use may have significant negative impacts on individuals’ ability to remain adherent to antiretroviral therapy (ART), and may also yield other negative psychosocial, health-related, and behavioral outcomes. In addition, false beliefs about the consequences of mixing alcohol with ART use may cause individuals to avoid taking ART when drinking (alcohol-related ART avoidance). Although research conducted in the U.S. and Europe has reported o…
Individual social capital and the HIV continuum of care in a rural setting of the southeast United States
Social capital is associated with the health of people living with HIV, and yet few studies have examined social capital in relation to the HIV continuum of care in the United States. The current study assessed individual social capital within social networks of 251 people living with HIV and residing in a rural area of the southeastern United States. Participants completed computerized self-administered measures that included markers of social c…
Stigmatisation of alcohol use among people receiving antiretroviral therapy for HIV infection, Cape Town, South Africa
Antiretroviral therapy (ART) effectively treats HIV infection, with improved longevity and quality of life among people living with HIV. Alcohol use, however, remains a robust barrier to ART. This study, for the first time, examined the effects of the stigmatisation of alcohol use on ART adherence. Patients receiving ART in Cape Town, South Africa who currently drink alcohol ( N = 187) and those who do not drink alcohol ( N = 106) completed measu…
Intersecting alcohol use and depression impedes HIV treatment in the rural South, USA
This study tested the hypothesis that the co-occurrence of alcohol use and depressive symptoms predicts HIV suppression and antiretroviral therapy (ART) adherence among people living with HIV. Baseline cross-sectional results showed a significant interaction between depressive symptoms and alcohol use in predicting HIV suppression; individuals who drank more alcohol and had higher depressive symptoms demonstrated poorer HIV suppression relative t…
HIV-related stigma and non-adherence to antiretroviral medications among people living with HIV in a rural setting
HIV stigma experiences and alcohol use among patients receiving medical care in the rural south
Drug Use and Life Chaos as Potential Factors Contributing to HIV Viral Load among People with Lower Health Literacy
Background Lower health literacy is associated with poorer health outcomes in people living with HIV (PLWH), but the explanatory mechanisms for these associations are not well understood. Factors such as drug use and life chaos may at least in part account for the relationship between lower health literacy and poor health outcomes. The current study tested the hypothesis that lower health literacy would predict drug use, which in turn would predi…
Subjective well-being and Covid-19 prevention practices among people living with HIV in Cape Town, South Africa
COVID-19 poses significant threats to the health of people with underlying chronic conditions, including people living with HIV. The association between subjective well-being and practicing COVID-19 preventive behaviours among people living with HIV is yet to be empirically tested. The objective of the current study was to test the hypothesis that subjective well-being would be associated with engaging in greater COVID-19 preventive behaviours. A…
Trust in health information sources and its associations with Covid-19 disruptions to social relationships and health services among people living with HIV
Findings have implications for the necessity of rebuilding public trust in credible sources of health information and stepping up efforts to counter sources of inaccurate information
Randomized Community Trial Comparing Telephone versus Clinic‐Based Behavioral Health Counseling for People Living with HIV in a Rural Setting
PURPOSE: To test the efficacy of a theory-based behavioral intervention delivered via telephone versus clinic-based counseling to improve HIV outcomes and reduce alcohol consumption for people at-risk for treatment failure in a rural setting. METHODS: Patients receiving HIV care (N = 240) were randomized using a computer-generated scheme to one of three conditions: (a) telephone behavioral health counseling, (b) clinic-based behavioral health cou…
Perceived sensitivity to medicines and medication concerns beliefs predict intentional nonadherence to antiretroviral therapy among young people living with HIV
Among the sources of antiretroviral therapy (ART) nonadherence are patient decisions to skip or stop taking their medications, often stemming from medication beliefs and concerns about side- effects. While individuals who perceive greater sensitivity to medicines may be prone to medication concerns, understanding how these factors contribute to HIV treatment adherence requires further research. The current study tested the direct and indirect eff…
Medicine (25 obras) · HIV/AIDS Research and Interventions (22 obras) · Psychiatry (21 obras) · Family medicine (17 obras) · Adolescent Sexual and Reproductive Health (14 obras) · Psychology (13 obras) · Psychological intervention (12 obras) · Environmental health (11 obras) · HIV, Drug Use, Sexual Risk (11 obras) · Viral load (10 obras)